Brookdale Rose Hill - Shawnee Nursing Home

General Information

UPDATE
Federal Provider Number
175478
Provider Name
BROOKDALE ROSE HILL
Provider Address
12802 JOHNSON DR
SHAWNEE, KS 66216
Provider Phone Number
9139627600
Provider SSA County
450
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
79
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ARC SWEET LIFE ROSEHILL, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-06-30
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.25506
Reported LPN Staffing Hours per Resident per Day
1.30190
Reported RN Staffing Hours per Resident per Day
0.65063
Reported Licensed Staffing Hours per Resident per Day
1.95253
Reported Total Nurse Staffing Hours per Resident per Day
5.20759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14494
Expected CNA Staffing Hours per Resident per Day
2.41185
Expected LPN Staffing Hours per Resident per Day
0.73743
Expected RN Staffing Hours per Resident per Day
1.46426
Expected Total Nurse Staffing Hours per Resident per Day
4.61353
Adjusted CNA Staffing Hours per Resident per Day
3.31155
Adjusted LPN Staffing Hours per Resident per Day
1.46534
Adjusted RN Staffing Hours per Resident per Day
0.33201
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54994
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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